# UROLOGY CONSULTANTS OF FORT WORTH LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407050057
- **Authorized official:** DR. SIDNEY A WORSHAM III M.D. (LIMITED PARTNER)
- **Authorized official phone:** (817) 877-1288

## Contact information

- **Practice address:** 800 8TH AVE, SUITE 626, FORT WORTH, TX 76104-2601
- **Practice address phone:** (817) 877-1288
- **Practice address fax:** (817) 877-5242
- **Mailing address:** 800 8TH AVE, SUITE 626, FORT WORTH, TX 76104-2601
- **Mailing address phone:** (817) 877-1288
- **Mailing address fax:** (817) 877-5242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | D8491 | TX | Yes |

## Other

- **Enumeration date:** 06/14/2007
- **Last updated:** 01/05/2010